Amy Janine Grandadam, RN Valid NPI

Individual provider · Registered Nurse · Shell Lake, WI

NPI

1356050033

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

181036-30 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2022-11-21

Last updated

2022-11-21